Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raven Mykel Jackson, MSED

Individual provider Mental Health Counselor · NPI 1992557193

Raven Mykel Jackson, MSED is a Mental Health Counselor in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

7865 Ortega Bluff Pkwy
Jacksonville, FL 32244-6917
Phone: (904) 472-5583
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 24527 (FL)

Record details

NPI number1992557193
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorNo
NPI enumeratedApril 2, 2024
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024

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